NPIMap

Organization Active NPI

Healing Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterford, MI
National Provider Identifier
1497470975
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HEALING MENTAL HEALTH PLLC
Practice address
5770 Highland Rd Ste a
Waterford, MI 48327-1877
Phone
(248) 775-7767
Fax
(888) 770-1688
NPI assigned
Oct 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jillian PriceNPI 1679054613
Title
Owner
Phone
(734) 834-8181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5770 Highland Rd Ste a
Waterford, MI 48327-1877

Mailing address

5770 Highland Rd Ste a
Waterford, MI 48327-1877
Phone (248) 618-3568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221025003241 MI Part B Supplier - Clinic/Group Practice 4789050188 Receives reassigned benefits from 7 practitioners
Practice locations: Waterford, MI

National Provider Directory

National Provider Directory

Locations

5770 Highland Rd
Ste A
Waterford, MI 48327
Phone (248) 618-3568

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1497470975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 HIGHLAND RD STE A",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271877",
            "telephone_number": "248-618-3568",
            "fax_number": "248-599-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 HIGHLAND RD STE A",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271877",
            "telephone_number": "248-775-7767",
            "fax_number": "888-770-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-834-8181"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.